Welcome! This online form supports municipal reporting of results for general elections
and by-elections. If you want a copy of your submission be sure to print it before
hitting the “Send Results” button, as the form will be cleared of data upon submission.
Please also be aware that if you select the “Refresh” button on your web browser
software, the form will be cleared of data. Questions may be directed to the contact
information noted at the bottom of the form. Thank You.

Name of Municipality:

Total Number of Eligible Voters:If unknown, leave at 0

Is this Election a By-Election?

If applicable, is the number provided above an estimate?

Scheduled Date of Election:MM/DD/YYYY

Total Number of Electors Who Voted:
Leave at 0 if unknown or not applicable

Address information is only required for person elected to office, and therefore,
the address fields for defeated candidate will be inactive.

Once a candidate row is added, if for any reason you want to delete it, select the
"X" button found at the far right of that candidate row.

Completed by:

Date Form Completed:

Comments:

This form will clear upon clicking the "Send Results" button below, so if you wish
to retain a copy of your submission please first print this form using the “Print
Results” button before sending in your results.

Please enter the security characters on the screen in the corresponding blank field
in order to allow you to submit your election results.

Picture:Characters:Required

Depending on your printer you may have to select "landscape" when printing in order
to view all the candidate information.